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Text File  |  1994-05-07  |  2KB  |  49 lines

  1.                        DELTA ORDER FORM
  2.  
  3. Name (Please Print) ________________________________________________________
  4.  
  5. Address ____________________________________________________________________
  6.  
  7. City _________________________ State/Province __________ ZIP _______________
  8.  
  9. Country (if not USA) ____________________ Phone/Fax ________________________
  10.  
  11. Email Address ___________________________
  12.  
  13. DISK SIZE:  [ ] 3.5" 1.4M    [ ] 5.25" 1.2M
  14.  
  15. Previous registered Delta users need only purchase the upgrade price
  16.  ------------------------------------------------------------
  17. | Description                | Quantity | Price  | Total     |
  18. |----------------------------+----------+--------+-----------|
  19. | DELTA 3.0                  |          | $21.00 |           |
  20. |----------------------------+----------+--------+-----------|
  21. | DELTA 3.0 UPGRADE FROM 2.X |          | $ 7.00 |           |
  22. |----------------------------+----------+--------+-----------|
  23. | DLLCHECK 1.0               |          |   FREE |           |
  24. |----------------------------+----------+--------+-----------|
  25. | SHIPPING USA*              |          | $ 1.00 |           |
  26. |----------------------------+----------+--------+-----------|
  27. | SHIPPING OTHER COUNTRIES*  |          | $ 3.00 |           |
  28. |------------------------------------------------+-----------|
  29. | AMOUNT ENCLOSED                                |           |
  30.  ------------------------------------------------------------
  31. * Add $1.00 for each additional registration
  32.  
  33. Sorry, at the moment only U.S. dollars are accepted in Cash, Check,
  34. or Money Order.  Make checks payable to "Michael Vincze".
  35.  
  36. Mail to:  Michael Vincze
  37.           c/o Delta 3.0
  38.           5229 Wood Creek Lane
  39.           Garland, TX   75044
  40.  
  41. Where did you get Delta from?
  42.  
  43. [ ] Downloaded from a BBS: BBS Name______________________________
  44. [ ] Shareware Catalog Vendor: Vendor Name:_______________________
  45. [ ] Retail Shareware Rack: Rack Vendor Name:_____________________ 
  46. [ ] Ordered it from us 
  47. [ ] A friend gave it to me 
  48. [ ] None of the above 
  49. [ ] Unknown